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Integrating patient complexity in health policy: A conceptual framework


Maree, P and Hughes, R and Radford, J and Stankovich, J and Van Dam, P, Integrating patient complexity in health policy: A conceptual framework, Australian Health Review, 45, (2) pp. 199-206. ISSN 0156-5788 (2020) [Refereed Article]

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Copyright 2020 CSIRO

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DOI: doi:10.1071/AH19290


Introduction: Clinicians across all health professions increasingly strive to add value to the care they deliver through the application of the central tenets of People Centred Care (PCC). These are the ‘right care’, in the ‘right place’, at the ‘right time’, ‘tailored to the needs of communities’. This ideal is being hampered by a lack of a structured, evidence-based means to formulate policy and value the commissioning of services in an environment of increasing appreciation for the complex health needs of communities. This creates significant challenges for policy makers, commissioners and providers of health services. Communities face a complex intersection of challenges when engaging with healthcare. Increasingly, complexity is gaining prominence as a significant factor in the delivery of People Centred Care. Based on the World Health Organisation (WHO) components of health policy, a policy framework is proposed that enables policymakers, commissioners and providers of healthcare to integrate a model of complexity into policy, subsequent service planning and development of models of care.

Method: The World Health Organisation (WHO) components of health policy were used as the basis for the framework. Literature is drawn on to develop a policy framework that integrates complexity into health policy. Results: Within the framework, complexity is juxtaposed between the WHO components of ‘vision’, ‘priorities’ and ‘roles’.

Conclusion: This framework, supported by the literature, provides a framework for policy makers and health planners for the analysis of and analysis for policy. Further work is required to better model complexity in a manner that integrates consumer needs and provider capabilities.

Item Details

Item Type:Refereed Article
Keywords:health policy, chronic disease management, health systems, models of care
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health care administration
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health policy evaluation
UTAS Author:Maree, P (Mr Peter Maree)
UTAS Author:Hughes, R (Mr Roger Hughes)
UTAS Author:Radford, J (Associate Professor Jan Radford)
UTAS Author:Stankovich, J (Dr Jim Stankovich)
UTAS Author:Van Dam, P (Dr Pieter Van Dam)
ID Code:139791
Year Published:2020
Deposited By:Medicine
Deposited On:2020-07-05
Last Modified:2021-04-14

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